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Methotrexate, Oral

Virginia rates for HCPCS J8610 · Trexall

Methotrexate, oral, 2.5 mg

Rates data updated July 2026.

How much does Methotrexate, Oral cost?

$0.14per 2.5 mg

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $0.14 for each 2.5 mg of this drug. The price depends on where it is billed: about $0.14 from a physician practice, and about $0.27 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 2.5 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$0.14
At a hospital outpatient department
$0.27

The same drug, in the same amount, costs 91% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.14$0.14 to $0.15
FacilityA hospital or hospital-owned outpatient department$0.27$0.16 to $0.43

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $0
$0.2$0.5$1$2$5facility $0professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.14
Median
$0.32
Typical High
$0.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.14
Median
$0.14
Typical High
$0.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.14
Median
$0.14
Typical High
$0.23
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$0.14
Median
$0.14
Typical High
$0.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.15
Median
$0.26
Typical High
$0.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.14
Median
$0.14
Typical High
$0.14
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$0.12
Median
$0.14
Typical High
$6.17
Medcost
Setting
Professional
Modifier
Global
Typical Low
$0.28
Median
$0.28
Typical High
$4.07
Medcost
Setting
Facility
Modifier
Global
Typical Low
$0.15
Median
$0.24
Typical High
$1.02
Medcost
Setting
Professional
Modifier
Global
Typical Low
$0.58
Median
$0.58
Typical High
$0.71
Sentara
Setting
Facility
Modifier
Global
Typical Low
$0.13
Median
$0.18
Typical High
$0.63
Sentara
Setting
Professional
Modifier
Global
Typical Low
$0.13
Median
$0.18
Typical High
$0.63
United
Setting
Facility
Modifier
Global
Typical Low
$0.23
Median
$0.23
Typical High
$6.17
United
Setting
Professional
Modifier
Global
Typical Low
$0.15
Median
$0.15
Typical High
$0.16

Where Virginia sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 19th of 51

$0.14

IA $0.17DE $0.14

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.